Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases

Although stem revision is recommended for Vancouver B2 periprosthetic hip fractures (PPHFs), there has recently been a debate whether, under certain conditions, they could be treated by osteosynthesis alone. This study aimed to describe the medium-term clinical and radiological results of several pa...

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Autores principales:	David González-Martín, Sergio González-Casamayor, Mario Herrera-Pérez, Ayron Guerra-Ferraz, Jorge Ojeda-Jiménez, José Luis Pais-Brito
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	periprosthetic fracture hip osteosynthesis Vancouver B2 Medicine R
Acceso en línea:	https://doaj.org/article/957181c065f9442e8c0c6649adccd825
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spelling	oai:doaj.org-article:957181c065f9442e8c0c6649adccd8252021-11-25T18:01:25ZIs Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases10.3390/jcm102252882077-0383https://doaj.org/article/957181c065f9442e8c0c6649adccd8252021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5288https://doaj.org/toc/2077-0383Although stem revision is recommended for Vancouver B2 periprosthetic hip fractures (PPHFs), there has recently been a debate whether, under certain conditions, they could be treated by osteosynthesis alone. This study aimed to describe the medium-term clinical and radiological results of several patients with V-B2 fractures treated via osteosynthesis. A retrospective study of patients with V-B2 PPHF treated by osteosynthesis without stem revision, operated on between 2009 and 2019, was performed. The type of arthroplasty, type of stem, ASA, Charlson Comorbidity Index (CCI), medical and implant complications, reoperation rate, first-year mortality, radiological results (consolidation time), and functional results were analyzed. Thirty-nine patients were included. Their average age was 78.82 years. Most of the patients presented ASA ≥ 3 (35/39) and CCI ≥ 5 (32/39). Radiological consolidation was achieved in 93.5% of patients, with an average consolidation time of 92.93 days. The average Parker test score before admission was 5.84 while the current one was 4.92 (5.16 years follow-up). Osteosynthesis without stem revision is a valid surgical alternative in certain types of patients with V-B2 PPHF, depending on previous mobility, fracture pattern (anatomical reconstruction possible), anesthetic risk, comorbidities, and previous hip pain.David González-MartínSergio González-CasamayorMario Herrera-PérezAyron Guerra-FerrazJorge Ojeda-JiménezJosé Luis Pais-BritoMDPI AGarticleperiprosthetic fracturehiposteosynthesisVancouverB2MedicineRENJournal of Clinical Medicine, Vol 10, Iss 5288, p 5288 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	periprosthetic fracture hip osteosynthesis Vancouver B2 Medicine R
spellingShingle	periprosthetic fracture hip osteosynthesis Vancouver B2 Medicine R David González-Martín Sergio González-Casamayor Mario Herrera-Pérez Ayron Guerra-Ferraz Jorge Ojeda-Jiménez José Luis Pais-Brito Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases
description	Although stem revision is recommended for Vancouver B2 periprosthetic hip fractures (PPHFs), there has recently been a debate whether, under certain conditions, they could be treated by osteosynthesis alone. This study aimed to describe the medium-term clinical and radiological results of several patients with V-B2 fractures treated via osteosynthesis. A retrospective study of patients with V-B2 PPHF treated by osteosynthesis without stem revision, operated on between 2009 and 2019, was performed. The type of arthroplasty, type of stem, ASA, Charlson Comorbidity Index (CCI), medical and implant complications, reoperation rate, first-year mortality, radiological results (consolidation time), and functional results were analyzed. Thirty-nine patients were included. Their average age was 78.82 years. Most of the patients presented ASA ≥ 3 (35/39) and CCI ≥ 5 (32/39). Radiological consolidation was achieved in 93.5% of patients, with an average consolidation time of 92.93 days. The average Parker test score before admission was 5.84 while the current one was 4.92 (5.16 years follow-up). Osteosynthesis without stem revision is a valid surgical alternative in certain types of patients with V-B2 PPHF, depending on previous mobility, fracture pattern (anatomical reconstruction possible), anesthetic risk, comorbidities, and previous hip pain.
format	article
author	David González-Martín Sergio González-Casamayor Mario Herrera-Pérez Ayron Guerra-Ferraz Jorge Ojeda-Jiménez José Luis Pais-Brito
author_facet	David González-Martín Sergio González-Casamayor Mario Herrera-Pérez Ayron Guerra-Ferraz Jorge Ojeda-Jiménez José Luis Pais-Brito
author_sort	David González-Martín
title	Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases
title_short	Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases
title_full	Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases
title_fullStr	Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases
title_full_unstemmed	Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases
title_sort	is stem revision necessary for vancouver b2 periprosthetic hip fractures? analysis of osteosynthesis results from 39 cases
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/957181c065f9442e8c0c6649adccd825
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Is Stem Revision Necessary for Vancouver B2 Periprosthetic Hip Fractures? Analysis of Osteosynthesis Results from 39 Cases

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